| NPI | 1902299761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017498) |
| 101YP2500X Counselor, Professional (Licence: NE 2323) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2023-09-15 |